Individual provider Active NPI

Sheneki Brown, LCSW

  • Clinical Social Worker
  • Albany, GA
National Provider Identifier
1447902325
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW007653 Issued in GA
Practice address
1216 Dawson Rd Ste 112
Albany, GA 31707-3867
Phone
(229) 598-4188
NPI assigned
Jan 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW007653 GA Primary

Addresses

Primary practice location

1216 Dawson Rd Ste 112
Albany, GA 31707-3867

Mailing address

2800 Old Dawson Road
Ste 2 #187
Albany, GA 31707

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gateway.go@counselingsecure.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Area Community SVC. Board CurrentSince Sep 27, 2024 Accepting new patients

Locations

601 11th Ave
Albany, GA 31701
Phone (229) 352-9368

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1642809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1447902325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 OLD DAWSON ROAD",
            "address_2": "STE 2 #187",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "31707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 DAWSON RD STE 112",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317073867",
            "telephone_number": "229-598-4188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "SHENEKI",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-22",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW007653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gateway.go@counselingsecure.com",
            "affiliation": "N",
            "endpointDescription": "Business Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1216 Dawson Rd Ste 112",
            "city": "Albany",
            "state": "GA",
            "country_code": "US",
            "postal_code": "317073867",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Albany, GA

Sources for this page

Verify at the official NPI Registry.